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PHARM 11 FINAL EXAM NEWEST VERSION - 2025/2026- WITH
100+ QUESTIONS AND VERIFIED ANSWERS (100% SUCCESS)
Which of the following statements about the SNS is correct? A) the SNS does not control sweat glands B) the SNS is involved in accommodation of near vision, movement of food, and urination C) the SNS often discharges as a single, functional system D) the SNS only uses NE as a NT C Which of the following NTs is not found in the PNS? a) NE B) AcH c) serotonin d) epinephrine C The PNS uses three NTs: epi, NE, AcH
Which of the following changes would occur if a person is chased by a grizzly bear or a creepy clown? [SATA] a) increased BG b) sweating c) increased gastric motility d) increased lacrimation e) miosis f) increased HR A, B, F A nurse is administering an adrenergic agonist drug that acts on the adrenergic receptors of the SNS. Which response will the nurse expect to see? A) bronchodilation B) decreased sweating C) decreased CO D) pinpoint pupils A What is the correct order of synaptic transmission?
- synthesis
- storage
Atropine causes urinary retention to worsen (Can't see, pee, shit, spit, tachycardia..) The patient will be taking anticholinergic meds following discharge from the healthcare agency. Which statement, made by the patient, would indicate that additional teaching is needed? a) to relieve dry mouth, I should drink plenty of water b) the use of lubricating eyedrops should be avoided. I should see an eye doctor for dry eyes c) i will not breastfeed while taking this drug without consulting my healthcare provider d) I will avoid activities requiring mental alertness until I know the effects of this drug B A nurse is caring for a client who has a prescription for bethanechol to treat urinary retention. The nurse should recognize that which of the following findings is a manifestation of muscarinic stimulation? a) excessive perspiration b) fecal impaction c) dry mouth d) hypertension A
The nurse should be prepared to administer which of the following drugs as an antidote to cholinergic drug overdose? a) diphenhydramine b) atropine c) propranolol d) neostigmine B The nurse is discussing the therapeutic effects of bethanechol with a patient who is receiving this drug for urinary retention. The nurse understands that bethanechol: a) increases the amount of urine made in the kidneys b) increases the contractions of the bladder and the structures that promote urination c) changes the diameter of the urethral opening d) improves renal blood flow B A nurse is administering an IV adrenergic agonist to a patient in the ICU. Which assessment finding would cause the most concern?
d) reduce the pain of an injection B The healthcare provider prescribes epi to a patient who was stung by several wasps 30 min ago. The nurse knows that the primary purpose of the med for this patient is to: a) increase a declining BP and dilate constricting bronchi associated with anaphylaxis b) counteract the formation of antibodies in response to an invading antigen c) increase the number of WBCs produced to fight the primary invader d) stop the systemic release of histamine produced by the mast cells A A patient who uses over-the-counter phenylephrine nasal spray asks the nurse how the med works. The nurse's response would be: a) it coats the nasal passages to reduce swelling b) it works to locally destroy invading organisms that cause colds and the flu c) it helps shrink the swelling in your nose by tightening the blood vessels there d) it is absorbed after you swallow it to act as a decongestant C
A patient takes a dose of albuterol prior to bedtime. which effect would the nurse consider normal for this drug: a) urticaria b) insomnia c) tinnitus d) sleepiness B A patient is receiving NE 30 mcg/min for shock. Which assessment finding suggests the patient is experiencing peripheral vasoconstriction from the medication? a) decreased peripheral pulses b) increased CO c) increased temperature d) drop in BP A A client in shock is prescribed a drug to act on dopamine, beta1, and at high doses, alpha1 receptors. The nurse will most likely be administering: a) pavulon b) dobutamine
b) this is a normal side effect c) the nervousness side effect only happens when you start taking the med and with continued use, you should not have that symptom d) this is a severe side effect and you should stop taking it immediately B What are the three approved applications of clonidine? a) HTN b) managing opioid withdrawal c) managing ADHD d) smoking cessation e) relief of severe pain f) tourette's syndrome A, C, E A nurse is preparing to administer a dose of clonidine. Which is the best description of the action of this drug? a) it causes the peripheral activation of a1 and a2 receptors b) it directly blocks a and b receptors in the periphery c) it selectively activates a2 receptors in the CNS d) it depletes the sympathetic neurons of NE
C
Which of the following are ADRs associated with clonidine? a) xerostomia b) drowsiness c) orthostatic hypotension d) increased salivation e) rebound HTN f) abuse A, B, E, F methyldopa is an oral antiHTN agent that lowers BP by acting at sites within the CNS and can cause severe hemolytic anemia and hepatic necrosis [T/F] True which of the following meds is the only adrenergic neuron-blocking agent available that causes depletion of NE from postganglionic sympathetic neurons? a) clonidine b) guanabenz c) methlydopa
a) the digestive functions of the body b) the fight-or-flight response c) the CV system d) body temperature B, C, D Which of the following are principal indications for administering a beta blocker? a) HF b) cardiac dysrhythmias c) angina d) HTN e) hypotension f) bradycardia A, B, C, D A nurse is caring for a patient receiving propranolol. Which finding is most indicative of an ADR of the drug? a) wheezing b) HR of 100 bpm c) urinary urgency
d) glucose of 180 mg/dL A Which of the following patients should the student nurse question administering a beta2 blockade to? a) a 69 M with a fib b) a 32 yo with chest pain c) a 74M with asthma d) a 44 yo with HTN C Which of the following are major ADRs of alpha blockers? [SATA] a) reflex bradycardia b) orthostatic hypotension c) inhibition of ejaculation d) nasal congestion e) HTN B, C, D Complete the equation: CO = volume of blood ejected at each heartbeat x ____:
d) renin B The nurse is caring for a patient with bipolar disorder treated with lithium. The patient has a new prescription for captopril for HTN. The combo of these two drugs makes which assessment particularly important? a) K+ level b) BP c) lithium level d) Crt level C A patient is prescribed an ACE inhibitor, lisinopril, as part of the treatment for HF. Which finding indicates the patient is experiencing the therapeutic effect of this drug? a) presence of jugular venous distention b) edema in bilateral lower legs c) K+ level of 4. d) crackles in bilateral lower lung fields are no longer appreciated D
A patient is prescribed lisinopril 40 mg PO once a day for HTN. For which therapeutic effect will the nurse monitor? a) slowing of HR b) decrease in BP c) dizziness and fainting d) pulse ox of 100% B The nurse is caring for a patient receiving hydralazine. The provider prescribes propranolol. The nurse knows that a drug such as propranolol often is combined with hydralazine for what purpose? a) to reduce the risk of developing HAs b) to improve hypotensive effects c) to prevent HF d) to prevent reflex tachycardia D Ca+ channel blockers cause vasodilation that can cause dizziness, HAs, and peripheral edema [T/F] True
A, C, D, E, G
HF is characterized by ventricular dysfunction, reduced CO, signs of inadequate tissue perfusion, and fluid overload [T/F] True In HF, arterial pressure falls, stimulating the baroreceptor reflex to increase SNS activity. The student nurse understands increased SNS activity will produce which response? a) tachycardia b) hypoglycemia c) hypotension d) bradypnea A Digoxin has a wide therapeutic index [T/F] False A selective beta blocker is prescribed for a patient who is diagnosed with dysrhythmias. The nurse knows that the primary purpose of this drug is:
a) to block the beta1 adrenergic receptors in the heart b) to increase the flow of O2 to the heart c) to increase the Beta1 and Beta2 receptors in the heart d) to block the Beta1 and Beta2 adrenergic receptors in the heart A Digoxin is useful in treating high ventricular rates in patients with A fib because: a) digoxin increases cardiac contractility b) digoxin is a good drug for stopping a fib c) digoxin in metabolized in the liver d) digoxin suppresses dysrhythmias by decreasing conduction through the AV node and decreasing automaticity in the SA node D A nurse is administering digoxin to a client diagnosed with CHF. Which intervention should the nurse implement? [SATA] a) check the client's K+ level b) have the client squeeze the nurse's fingers c) assess the client's carotid pulse for 1 full minute d) ask the client if they are having visual disturbances
